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Samaritan Health Services
Credentialing Coordinator I
Career Insights for Registrar / Patient Service Representative
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$55,758 / year median in the U.S.
+5% projected growth
Job Description
Credentialing Coordinator I Facility Samaritan Health Services Req # Req #: 79393 Location Corvallis, OR Schedule
- Shift 1.0 (80 hrs/pp)
Day Department SHS Credentialing Remote Status Remote Status:
Remote Salary Range Salary Range:
$21.34- $31.
JOB SUMMARY/PURPOSE
Independently manages all activities associated within the initial and re-credentialing application process and/or the provider enrollment process, which may include primary source verification of licensure, certification and credentials for the purpose of employment, hospital privileges and health plan membership; facility credentialing; provider/facility enrollment with payers; and delegation agreement management. Collaborates with Medical Staff and Samaritan Health Plan offices to ensure accuracy and completeness of files and reduce duplication of credentialing activities. Serves as a system resource for management of system wide provider database.DEPARTMENT DESCRIPTION
The Credentialing Department at Samaritan Health Services credentials new and existing healthcare providers for employment, privileging and participation in Samaritan Health Plans. The credentialing process includes verification, documentation, and approval of a practitioner's credentials and meets the requirements of The Centers for Medicare and Medicaid and our accrediting bodies.EXPERIENCE/EDUCATION/QUALIFICATIONS
High School diploma or equivalent required. Two (2) years experience in a position of similar responsibility and complexity required. Experience and/or training in theories, concepts, and principles of secretarial science and office management required. Experience and/or training in regulatory compliance including The Joint Commission, DNV, NCQA and CMS required. Experience and/or training in medical staff structure preferred. Experience and/or training in computer applications including Microsoft Word, Outlook and Excel required. CPCS certification preferred.KNOWLEDGE/SKILLS/ABILITIES
Computer Literacy- Knowledge of computer software, including Microsoft Office programs and web based applications. Ability to operate applications, enter data, and manipulate and process information. Clerical
- Knowledge of theories, concepts, and principles of secretarial science and office management. Ability to perform administrative and clerical procedures. Credentialing
- Knowledge of accreditation, NCQA, medical staff standards and state/federal requirements as they relate to credentialing services. Communication
- Possess professional verbal and written communication skills for interacting with customers of Credentialing Department.
PHYSICAL DEMANDS
Rarely (1- 10% of the time) Occasionally (11
- 33% of the time) Frequently (34
- 66% of the time) Continually (67
- 100% of the time) CLIMB
- STAIRS LIFT (Floor to
Waist:
0- 36") 0
- 20 Lbs LIFT (Knee to chest: 24
- 54") 0
- 20 Lbs LIFT (Waist to
Eye:
up to 54") 0- 20 Lbs CARRY 1-handed, 0
- 20 pounds SQUAT Static (hold >30 sec) SQUAT Repetitive
BEND FORWARD
at waist KNEEL (on knees)STAND WALK
- LEVEL
SURFACE REACH
- Upward
ROTATE TRUNK
Standing PUSH (0-20 pounds force) PULL (0-20 pounds force)SIT ROTATE TRUNK
Sitting REACH- Forward CARRY 2-handed, 0
- 20 pounds